Organization Active NPI

Barrington Park Dermatological Associates PC

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1245268275
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BARRINGTON PARK DERMATOLOGICAL ASSOCIATES PC
Practice address
220 Linden Oaks Ste 300
Rochester, NY 14625-2839
Phone
(585) 383-4420
Fax
(585) 383-4515
NPI assigned
Jun 29, 2006
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pamela A Leve, MDNPI 1447202734
Title
President
Phone
(585) 383-4420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

220 Linden Oaks Ste 300
Rochester, NY 14625-2839

Mailing address

220 Linden Oaks Ste 300
Rochester, NY 14625-2839
Phone (585) 383-4420

Other identifiers 5

IdentifierTypeStateIssuer
GRP512112001OtherNYBLUE SHIELD OF WNY GM
CB2246OtherRAILROAD MEDICARE
G0182226590OtherNYEXCELLUS MANAGED CARE PRO
04924489MedicaidNY
GRP916166001OtherNYBLUE SHIELD OF WNY GM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071231000373 NY Part B Supplier - Clinic/Group Practice 4789772195 Receives reassigned benefits from 7 practitioners
Practice locations: Rochester, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0683069Barrington Park Dermatological Associates PC220 Linden Oaks, Suite 300, Rochester, NY 14625Provider-performed microscopyMar 8, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1245268275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252839",
            "telephone_number": "585-383-4420",
            "fax_number": "585-383-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252839",
            "telephone_number": "585-383-4420",
            "fax_number": "585-383-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRINGTON PARK DERMATOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LEVE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-383-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WNY GM",
            "identifier": "GRP512112001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB2246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS MANAGED CARE PRO",
            "identifier": "G0182226590",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04924489",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WNY GM",
            "identifier": "GRP916166001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.